Handheld echocardiography is a more portable and lower-cost alternative to standard echocardiography for rheumatic heart disease screening. Direct comparison of handheld echocardiography and auscultation for the detection of rheumatic heart disease has not been done previously.

Handheld echocardiography significantly improves detection of rheumatic heart disease compared with auscultation alone and may be a cost-effective screening strategy in developing countries. (Read the full article)

The majority of youth are not meeting the recommended physical activity guidelines. Dance classes are popular for girls and have potential to provide physical activity for many youth. Little is known about how active youth are in different dance types.

Objectively measured physical activity in dance classes are low and generally provide less physical activity than youth sports. There is a public health imperative to engage the dance profession in efforts to improve the health impact of youth dance classes. (Read the full article)

Parental hesitancy about childhood vaccines is prevalent and related to delay or refusal of immunizations. Physicians are highly influential in parental vaccine decision-making, but may lack confidence in addressing parents’ vaccine concerns.

A physician-targeted communications intervention designed to reduce maternal vaccine hesitancy through the parent-physician relationship did not affect maternal hesitancy or physician confidence communicating with parents. Further research should determine the most effective approaches to addressing vaccine hesitancy. (Read the full article)

Previous research has described important variability in the medical evaluation of suspected child physical abuse. This variability may contribute to bias and reduce reliability in the medical diagnosis of abuse.

A panel of child abuse pediatricians participated in a Delphi Process, defining critical elements for the medical evaluation of suspected physical abuse in children. Results can be used to reduce practice variability that may contribute to potential bias in evaluation. (Read the full article)

The US Preventive Services Task Force recommends primary care clinicians apply fluoride varnish to the teeth of all young children, but no studies have examined the effect of comprehensive preventive oral health services on children’s clinical oral health status.

Comprehensive preventive oral health services delivered by primary care clinicians can help improve the oral health of Medicaid-enrolled children, but more work is needed to link medical and dental offices to ensure the continuity of dental care for these children. (Read the full article)

Concern of the risk of malignancy from ionizing radiation has prompted many to advocate for judicious use of computed tomography (CT) and as low as necessary radiation doses administered per scan. Recent analysis has shown a decline in CT utilization.

We identified decreases in CT utilization between 2004 and 2012 for the 10 most common diagnostic groups receiving CT. Decreases were typically associated with increases in alternate imaging modalities. We provide a possible reason for the decrease in CT utilization. (Read the full article)

Communication between parents and providers is an important driver of parent experience of care. The impact of nighttime communication, which has become increasingly relevant after changes in resident physician duty hours, on parent experience is unknown.

Parent communication with nighttime doctors and nurses, and parent perceptions of communication and teamwork between these providers, may be important drivers of parent experience. Efforts to improve nighttime communication, both with parents and between team members, may improve parent experience. (Read the full article)

Given the efforts to decrease the use of ionizing radiation in pediatric patients, there is significant variability in head computed tomography (CT) scan use in pediatric emergency departments for minor head trauma.

This study characterized variability in CT scan rates for all body regions in emergency department, observation, and inpatient encounters across 30 tertiary pediatric hospitals. Two-fold variation remained after case-mix adjustment, with higher volume hospitals having lower rates of CT scanning. (Read the full article)

The American Academy of Pediatrics discourages providers from dismissing families who refuse vaccines for their children, yet some providers continue to do so.

We show that ~1 in 5 pediatricians dismiss families who refuse vaccines, and there is significant regional variation in the practice. Dismissing families for refusing vaccines was also associated with stricter state nonmedical exemption policies. (Read the full article)

Many teachers are tapped to teach physics without prior training or experience. A new study explores a possible solution.

The HUB-Robeson Galleries are proud to present "moments," an online thesis exhibition of photography by Zsuzsanna Nagy, a second-year master of fine arts student in photography.

Objectives. The aim of this study was to assess the safety of early oral switch (EOS) prior to 14 days for low-risk Staphylococcus aureus bacteremia (LR-SAB), which is the primary treatment strategy employed at our institution. Usually recommended therapy is 14 days of intravenous (IV) antibiotics.

Methods. All patients with SAB at our hospital were identified between 1 January 2014 and 31 December 2018. Those meeting low-risk criteria (healthcare-associated, no evidence of deep infection or demonstrated involvement of prosthetic material, and no further positive blood cultures after 72-hours) were included in the study. The primary outcome was occurrence of a SAB-related complication within 90 days.

Results. There were 469 SAB episodes during the study period, 100 (21%) of whom met inclusion criteria. EOS was performed in 84 patients. In this group, line infection was the source in 79%, methicillin-susceptible S. aureus caused 95% of SABs and 74% of patients received IV flucloxacillin. The median duration of IV and oral antibiotics in the EOS group was 5 (IQR 4-6) and 10 days (IQR 9-14), respectively. Seventy-one percent of patients received flucloxacillin as their EOS agent. Overall, 86% of oral step-down therapy was with beta-lactams. One patient (1%) undergoing EOS had SAB relapse within 90 days. No deaths attributable to SAB occurred within 90 days.

Conclusions. In this low MRSA prevalence LR-SAB cohort, EOS was associated with a low incidence of SAB-related complications. This was achieved with oral beta-lactam therapy in most patients. Larger prospective studies are needed to confirm these findings.

Periodontitis as a biofilm-associated inflammatory disease is highly prevalent worldwide. It severely affects oral health and yet closely links to systemic diseases like diabetes and cardiovascular disease. Porphyromonas gingivalis as a ‘keystone' periodontopathogen drives the shift of microbe-host symbiosis to dysbiosis, and critically contributes to the pathogenesis of periodontitis. Persisters are a tiny subset of biofilm-associated microbes highly tolerant to lethal treatment of antimicrobials, and notably metronidazole-tolerant P. gingivalis persisters have recently been identified by our group. This study further explored the interactive profiles of metronidazole-treated P. gingivalis persisters (M-PgPs) with human gingival epithelial cells (HGECs). P. gingivalis cells (ATCC 33277) at stationary phase were treated with lethal dosage of metronidazole (100 μg/ml, 6 hours) for generating M-PgPs. The interaction of M-PgPs with HGECs was assessed by microscopy, flow cytometry, cytokine profiling and qPCR. We demonstrated that the overall morphology and ultra-cellular structure of M-PgPs remained unchanged. Importantly, M-PgPs maintained the capabilities to adhere to and invade into HGECs. Moreover, M-PgPs significantly suppressed pro-inflammatory cytokine expression in HGECs at a comparable level with the untreated P. gingivalis cells, through the thermo-sensitive components. The present study reveals that P. gingivalis persisters induced by lethal treatment of antibiotics could maintain their capabilities to adhere to and invade into human gingival epithelial cells, and perturb the innate host responses. Novel strategies and approaches need to be developed for tackling P. gingivalis and favourably modulating the dysregulated immuno-inflammatory responses for oral/periodontal health and general wellbeing.

Recent studies highlight the abundance of commensal coagulase-negative staphylococci (CoNS) on healthy skin. Evidence suggests that CoNS actively shape the skin immunological and microbial milieu to resist colonization or infection by opportunistic pathogens, including methicillin resistant Staphylococcus aureus (MRSA), in a variety of mechanisms collectively termed colonization resistance. One potential colonization resistance mechanism is the application of quorum sensing, also called the Accessory Gene Regulator (agr) system, which is ubiquitous among staphylococci. Common and rare CoNS make autoinducing peptides (AIPs) that function as MRSA agr inhibitors, protecting the host from invasive infection. In a screen of CoNS spent media we found that Staphylococcus simulans, a rare human skin colonizer and frequent livestock colonizer, released potent inhibitors of all classes of MRSA agr signaling. We identified three S. simulans agr classes, and have shown intraspecies cross-talk between non-cognate S. simulans agr types for the first time. The S. simulans AIP-I structure was confirmed, and the novel AIP-II and AIP-III structures were solved via mass spectrometry. Synthetic S. simulans AIPs inhibited MRSA agr signaling with nanomolar potency. S. simulans in competition with MRSA reduced dermonecrotic and epicutaneous skin injury in murine models. Addition of synthetic AIP-I also effectively reduced MRSA dermonecrosis and epicutaneous skin injury in murine models. These results demonstrate potent anti-MRSA quorum sensing inhibition by a rare human skin commensal, and suggest that cross-talk between CoNS and MRSA may be important in maintaining healthy skin homeostasis and preventing MRSA skin damage during colonization or acute infection.

Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSI) are associated with substantial morbidity and mortality. Monotherapy with first-line antimicrobials such as vancomycin (VAN; glycopeptide) and daptomycin (DAP; lipopeptide) are inadequate in some cases due to reduced antibiotic susceptibilities or therapeutic failure. In recent years, β-lactam antibiotics have emerged as a potential option for combination therapy with VAN/DAP that may meet an unmet therapeutic need for MRSA BSI. Ceftaroline (CPT), the only commercially available β-lactam in the United States with intrinsic in vitro activity against MRSA, has been increasingly studied in the setting of VAN and DAP failures. Novel combinations of first-line agents (VAN and DAP) with β-lactams have been the subject of many recent investigations due to in vitro findings such as the "see-saw effect", where β-lactam susceptibility may be improved in the presence of decreased glycopeptide and lipopeptide susceptibility. The combination of CPT and DAP, in particular, has become the focus of many scientific evaluations, due to intrinsic anti-MRSA activities and potent in vitro synergistic activity against various MRSA strains. This article reviews the available literature describing these innovative therapeutic approaches for MRSA BSI, focusing on preclinical and clinical studies, and evaluates the potential benefits and limitations of each strategy.

Staphylococcus aureus osteomyelitis is a debilitating infection of bone. Treatment of osteomyelitis is impaired by the propensity of invading bacteria to induce pathologic bone remodeling that may limit antibiotic penetration to the infectious focus. The nonsteroidal anti-inflammatory drug diflunisal was previously identified as an osteoprotective adjunctive therapy for osteomyelitis, based on the ability of this compound to inhibit S. aureus quorum sensing and subsequent quorum-dependent toxin production. When delivered locally during experimental osteomyelitis, diflunisal significantly limits bone destruction without affecting bacterial burdens. However, because diflunisal's "quorum-quenching" activity could theoretically increase antibiotic recalcitrance, it is critically important to evaluate this adjunctive therapy in the context of standard of care antibiotics. The objective of this study is to evaluate the efficacy of vancomycin to treat osteomyelitis during local diflunisal treatment. We first determined that systemic vancomycin effectively reduces bacterial burdens in a murine model of osteomyelitis, and identified a dosing regimen that decreases bacterial burdens without eradicating infection. Using this dosing scheme, we found that vancomycin activity is unaffected by the presence of diflunisal in vitro and in vivo. Similarly, locally-delivered diflunisal still potently inhibits osteoblast cytotoxicity in vitro and bone destruction in vivo in the presence of sub-therapeutic vancomycin. However, we also found that the resorbable polyurethane foams used to deliver diflunisal serve as a nidus for infection. Taken together, these data demonstrate that diflunisal does not significantly impact standard of care antibiotic therapy for S. aureus osteomyelitis, but also highlight potential pitfalls encountered with local drug delivery.

Background: MRSA pose significant therapeutic challenges, related to their: frequency in clinical infections; innate virulence properties; and propensity for multi-antibiotic resistance. MRSA are among the most common causes of endovascular infections, including infective endocarditis (IE).

Objective: To employ transthoracic echocardiography (TTE) to evaluate the effect of exebacase, a novel direct lytic agent, in experimental aortic valve MRSA IE.

Study Design: TTE was utilized to evaluate the in vivo effect of exebacase on MRSA-infected vegetation progression when combined with daptomycin (vs daptomycin alone). Primary intravegetation outcomes were: maximum size; weights at sacrifice; and MRSA counts at infection baseline vs after 4 days of daptomycin treatment (alone or in addition to exebacase administered once on treatment Day 1).

Results: A single dose of exebacase in addition to daptomycin cleared significantly more intravegetation MRSA than daptomycin alone. This was associated with a statistical trend toward reduced maximum vegetation size in the exebacase + daptomycin vs the daptomycin-alone therapy groups (p = 0.07). Also, mean vegetation weights in the exebacase-treated group were significantly lower vs daptomycin-alone (p < 0.0001). Maximum vegetation size by TTE correlated with vegetation weight (p = 0.005). In addition, intravegetation MRSA counts in the combination group were significantly lower vs untreated controls (p<0.0001) and the daptomycin-alone group (p<0.0001).

Conclusion: This study suggests that exebacase has a salutary impact on MRSA-infected vegetation progression when combined with daptomycin, especially in terms of vegetation MRSA burden, size and weight. Moreover, TTE appears to be an efficient non-invasive tool to assess therapeutic efficacies in experimental MRSA IE.

Methicillin-resistant Staphylococcus aureus (MRSA) has grown to become a major burden on healthcare systems. The cumulation of limited therapeutic options and worsened patient outcomes with persistent MRSA bacteremia has driven research in optimizing its initial management. The guidelines published by the Infectious Disease of America currently recommend combination therapy for refractory MRSA bacteremia, but the utility of combining antibiotics from the start of therapy is under investigation. The alternative strategy of early use of a β-lactam antibiotics in combination with vancomycin upon initial MRSA bacteremia detection has shown promise. While this concept has gained international attention, providers should give this strategy serious consideration prior to implementation. The objective of this review is to examine retrospective and prospective evidence for early combination with vancomycin and β-lactam antibiotics, as well as explore potential consequences of combination therapy.

OBJECTIVES:

Infantile hemangiomas (IHs) are common; some cases require timely referral and treatment to prevent complications. We developed and validated a reliable instrument for timely and adequate referral of patients with IH to experts by nonexpert primary physicians.

Douglas K. Richardson
Mar 1, 1993; 91:617-623
ARTICLES

Yong Y. Han
Dec 1, 2005; 116:1506-1512
ARTICLES

England won the 2017 Maurice Burlaz Trophy, the prize awarded to the nation that achieved the best results in UEFA's men's youth competitions over the previous two seasons.

Within days of the University's shift to remote learning, faculty, instructors and teaching assistants in the Department of Geography moved 35 resident instruction courses into remote delivery mode to teach 1,947 students.

Eight Penn State Health doctors have been named among the Pennsylvania Medical Society's "Top Physicians Under 40."

By Sr. Joan L. Roccasalvo, C.S.J.

“It’s back to school,” the many ads remind us.  The noble work of education will soon begin anew.  

The word, educate, from the Latin educere, means to lead out of. Educators worthy of the name lead their students out of the darkness of ignorance to the light of truth, knowledge and wisdom. 

The Catholic Philosophy of Education

To realize its Divine mission, the Church has developed a view of education that claims the right over all other agencies to make final decisions about the education of its youth. 

There are several principles of the Catholic philosophy of education that mark it with distinction.  With the obvious age-appropriate adaptations, they affect all ages and academic levels. 

Belief in a Personal God

First, that belief in a personal God is essential to all Catholic thinking in any and every phase of human activity. This includes formal education which proclaims Jesus as its primary Exemplar.  It follows that the Church rejects any philosophy of education or position that sacrifices the eternal and supernatural to the temporal and natural (V.P. Lannie, “Catholic Education IV,” The New Encyclopedia 5: 168).

Academic Excellence

Second, Catholic education imparts far more than amassing facts and information.  Scholarship and faith belong together, the whole person, seeking ultimate Truth, Goodness, and Beauty.  Students should be taught to wonder at the goodness and truth surrounding them. Catholic education builds character. It develops in its students a Catholic moral compass and a Catholic sensibility to understand how society and democracies function. The curriculum’s first order of business is academic formation and excellence. Students must learn correct grammar and use language skillfully, even artfully. This means reading well, writing with imagination, precision and power, and speaking the country’s predominant language correctly. It is typically true that whoever uses the right word thinks precisely and persuasively as in the famous Hopkins’ poetic line, “The world is charged with the grandeur of God.” 

English is a difficult language to master, but it must be said that immigrants to this country often learn to speak better English than those who are born here. In the musical, “My Fair Lady,” the character of Henry Higgins sings, “Why Can’t the English Teach Their Children How to Speak.”  He lampoons Americans’ mutiliation of English with the line, “Well, in America, they haven’t used it in years.” A playful jab, but jab it is.

Catholic and Christian Humanism

Third, in Catholic humanism, God is found not just in the sacred but also in the secular where Christian values and virtue can be uncovered.  The religious and the profane are mutually inclusive, “charged with the grandeur of God.” Whatever is human is inherently Christian.  No enterprise, no matter how secular, is merely secular for we live in a universe of grace and promise. 

The humanities are associated with depth, richness, feelings, character and moral development. This is why the literary and refining arts are so important.  Their purpose is to impart wonder and enjoyment, sensitize the feelings of students and eventually influence their behavior.  The humanities are intended for all students and not just for the elite.

The Student and the Educator

Fourth, St. Thomas Aquinas puts it concisely: Education is a lifelong process of self-activity, self-direction, and self-realization. The child is the center of attention, the “principal agent,” in the educational process. 

The instructor is the “essential mover” who teaches by the witness of his or her example and consistently brings to their lessons a high degree of preparedness. The teacher’s role is critical to Catholic education (Ibid).  The students’ real life situations initiate the process of learning.   Educators lead their students out beyond their life setting—their Sitz-im-Leben.  Experience teaches students to discover for themselves by engaging the five senses. This includes, for example, making or doing beautiful art forms or listening to beautiful music. Affectivity must be channeled in socially-accepted ways. For the most part, “Rap” culture exalts anti-social affectivity.

In his apostolic exhortation, “Evangelii nuntiandi,” Pope Paul VI reflected: “Today students do not listen seriously to teachers but to witnesses, and if they do listen to teachers, it is because they are witnesses.”  

Catholic educators teaching in public schools can adapt Catholic principles to the public school curriculum especially when these are also embraced by other faith-traditions.    

The Benedict Effect

At his papal election in 2003, why did Joseph Cardinal Ratzinger take the papal name Benedict?  It was the Benedictine monks, who, systematically and comprehensively, rebuilt Europe after the barbaric invasions of Rome in the 5th century. Some European leaders refuse to acknowledge Europe’s Christian roots and, specifically, the Church’s role in building on Greco-Roman culture, Christianizing it, and handing it on to future generations. At a time when Europe was cast in darkness, the Church led it out of the darkness; the Church was Europe’s light. Not opinion, but fact.

St. Benedict, the Benedictine Order, and the Monastic Centuries

In the middle of the sixth century, a small movement changed the landscape of the European world.  Benedict of Nursia (480-547) introduced a new way of life and thinking that has brought vitality to contemporary men and women. He laid the foundation of Benedictine monastic life with his monks first at Subiaco and Rome, and then at Monte Cassino.  

Benedict composed his Rule of disciplined balance that fostered order and peace.  If “pray and work” (ora et labora) was the Benedictine motto, the way to live it was through beauty, piety, and learning.  Every monastery was built on an expansive tract of land, and  eventually, it became a miniature civic center for the townspeople.  One could say that the monks sacralized the landscape.  

Monastic Schools

Of the many contributions the Benedictine monks made to European culture, education remained a prominent value. In the Middle Ages, education was conducted within the confines of the monastery by monks, and later, by nuns.  They offered religious and general education to youth who intended to enter the monastic or clerical life and to youth who were preparing for public life.  They lived at home.  Young children of six or seven years of age were taught the basics. The majority, especially potential monks and nuns, were taught to read Latin, writing, chant, arithmetic, and learning how to read time on the sundial. The main text was the Psalter.  From the eighth century onward, students were taught the seven liberal arts, the trivium, grammar, logic, and rhetoric, and the quadrivium, arithmetic, astronomy, geometry, and music.  The ideal monastery of the Benedictine Order was that of Saint Gall in present-day Switzerland where the town flourished around the monastery.

In our century, Catholic education continues to flourish across the world in developed and in developing countries.

Conclusion: Catholic Education in the United States

The Encyclopedia of Catholicism asserts that “throughout history, there is likely no more compelling instance of Catholic commitment to education than the school system created by the U.S. Catholic community.  The story of American Catholicism goes back to the very first Catholic settlers in the New World.” 

Despite the various declarations of freedom in early American history, anti-Catholicism prevailed through groups such as the Know-Nothing Society of the 1850s.  They existed to eradicate Popery, Jesuitism, and Catholicism.  

Between 1840 and 1900, at least sixty European religious orders of women and men were teaching in this country’s parochial schools. 

Conclusion

Finally, the philosophy of Catholic education integrates several aspects of the faith into the curriculum but always in age-appropriate ways: Biblical tradition, Early Christian Church plus heresies and the results,  Spirituality and prayer, Liturgy,  Doctrine, Ecumenism:  a study of the world religions and the Third World.

Today, apologetics is needed more than ever to defend the Church against old and new approaches to anti-Catholicism.  Our students should be taught the art and skill of civil debate—to learn the principles, internalize them, anticipate opposing views, and then defend the principles. 

(This précis of the philosophy of Catholic education has been presented in its ideal conception and not necessarily as it exists with the integrity described.)

Introducing the Henri Delaunay Cup, the prize on offer for the 24 hopefuls at UEFA EURO 2020.

NEW CASTLE (Jan. 2, 2019) – The number of full-time equivalent primary care physicians providing direct patient care in Delaware in 2018 declined about 6 percent from 2013, a trend that resulted in a slightly lower percentage of physicians statewide who are accepting new patients, according to a new University of Delaware study of the […]

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Trade association says proposal misunderstands complexity of spray formation

Overwhelmed by the occasion, India crumbled to 99 all out in front of a turnout of 86174 at the iconic Melbourne Cricket Ground, a record in women's cricket history.

RSA BSAFE Crypto-J versions prior to 6.2.2 suffer from improper OCSP validation and PKCS#12 timing attack vulnerabilities.

Check here each week to keep up with the latest from John MacArthur's pulpit at Grace Community Church.

Prof. Shai Izraeli says ‘When you talk about specific cancers, like Hodgkin lymphoma and standard-risk acute lymphoblastic leukemia, the rate of survival is more than 90%.’

In the lead-up to the Truth Matters conference in October, we will be focusing our attention on the sufficiency, authority, and clarity of Scripture. Of our previous blog series, none better embodies that emphasis than Frequently Abused Verses. The following entry from that series originally appeared on August 17, 2016. -ed.

Most of us have heard of faith healers. They exist almost exclusively within the charismatic movement and claim to be divinely gifted to supernaturally heal the sick.

For these miracle workers to have any longevity—some of them have thriving ministries that last for decades—they need to develop the illusion of legitimacy. Sensational claims and spectacular crusades certainly play a role in drawing an enthusiastic crowd. But enthusiasm only gets you so far; they also require a façade of biblical authority. And for many of these false teachers, Isaiah 53:5 is the go-to verse, ripped from its context and contorted to fit their self-serving interpretation.

But He was wounded for our transgressions,
He was bruised for our iniquities;
The chastisement for our peace was upon Him,
And by His stripes we are healed. (Isaiah 53:5, NKJV) 

Isaiah 53 is the most renowned Old Testament passage on Christ’s atoning work. John MacArthur refers to it as “the first gospel” or The Gospel According to God. It contains vivid and precise prophetic imagery concerning Christ’s suffering and crucifixion. And the “stripes” mentioned in verse five refer to the lashes Christ received at the hands of Roman soldiers.

Word-Faith charismatic teachers routinely claim that Isaiah 53:5 is proof that physical healing is inherent in the atonement—that it was won by Christ’s physical suffering. For example, Joseph Prince argues that physical healing is the right of all believers—something they can simply “confess” into reality:

But what came on [Jesus] was not just the whip stripping the flesh off His bare back, but your sicknesses and diseases. Each time He was whipped, every form of sickness and disease, including arthritis, cancer, diabetes, bird flu and dengue fever, came upon Him. “The chastisement for our peace was upon Him, and by His stripes we are healed.”

Today, healing is your right because Jesus has paid the price for your healing. So if the devil says, “You cannot be healed,” just declare, “Jesus has paid for my healing. Disease has no right to be in my body. I am healed in Jesus’ name!”

Every curse of sickness that was supposed to fall on you fell on Jesus instead. He bore every one of those stripes, so that you can walk in divine health all the days of your life. The price has been paid so that you can rise up and get out of your bed of affliction! ^[1] http://www.josephprince.org/daily-grace/grace-inspirations/single/by-jesus-stripes-you-are-healed

Prince’s view of the atonement is really only a potential atonement. It doesn’t actually deliver you from sickness but rather gives you the ability to “rise up and get out of your bed of affliction.” And how do you activate the atonement to receive the healing that’s rightfully yours? Kenneth Hagin’s testimony provides the answer.

Hagin staked the credibility of his healing ministry on 1 Peter 2:24—a New Testament quotation of Isaiah 53:5—and his claims regarding his personal experience of divine healing:

Some years ago, I was awakened at 1:30 A.M. with severe symptoms in my heart and chest. I knew something about such symptoms because I had been bedfast and given up to die with a heart condition as a teenager.

The Devil said to my mind, “You’re going to die. This is one time you’re not going to get your healing.” I pulled the covers over my head and began to laugh. I didn’t feel like laughing, but I just laughed anyway for about ten minutes. Finally, the Devil asked me what I was laughing about.

“I’m laughing at you!” I said. “You said I wasn’t going to get my healing. Ha, ha, Mr. Devil. I don’t expect to get my healing! Jesus already got it for me! Now, in case you can’t read, I’ll quote 1 Peter 2:24 for you.” And I did.

After quoting the last phrase, “By whose stripes ye were healed,” I said, “Now if we were—I was! So I don’t have to get it. Jesus already got it! And because Jesus got it for me, I accept it, and claim it, and I have it. Now you just gather up your little symptoms and get out of here, Mr. Devil!” ^[2] Kenneth E. Hagin, Faith Food Devotions (Tulsa, OK: Faith Library Publications, 1998) Page unknown.

For Hagin, and countless other Word-Faith preachers like him, supernatural healings need only to be spoken into reality. Joyce Meyer expands on that idea, arguing that Satan is involved in the illegal activity of inflicting “sickness on us, and there is no good reason to let him do it.”

How do you stand against sickness? For starters, plead the blood of Jesus against the sickness and over every part of your body—your immune system, your organs, your blood cells and so on. Then speak the Word over your body. You can pray, “Father, I believe it’s Your will that I be in health. I believe that by the stripes of Jesus, I am healed. Your Word is health and life to my body, and it will accomplish that which You please and purpose.” ^[3] http:/www.joycemeyer.org/OurMinistries/Magazine/0703/Healing+and+Wholeness.htm

So according to Joyce Meyer, healing is a right but it isn’t always fait accompli for the Christian. It’s something that’s been provided for believers, but they need to successfully claim it. It needs to be confessed into reality—spoken into existence through the power of faith. Like Joseph Prince, Meyer describes a potential atonement that requires our activation. That’s a cruel doctrine to inflict on Christians who have sought healing but continue to spend their lives in wheelchairs, on respirators, and under medication.

The belief that Christ’s physical suffering somehow guarantees our physical healing in this life isn’t merely an abuse of Scripture—it’s a form of mental and spiritual torture to those who sit under such false teaching. It’s a lie that has left many churchgoers disappointed with the gospel. Rather than longing for their heavenly home, they are gripped by unrealized expectations in the here and now. The sickness they struggle with leaves them feeling like failures who lack the necessary faith to claim the healing that’s rightfully theirs.

The fact that everyone still dies should be proof enough that on this side of eternity all people are still subject to Adam’s curse. Sickness is a very real part of life in this fallen world, and no amount of claiming divine health is going to change that. Even the disciples of the early church didn’t rebuke their physical ailments into oblivion—they dealt with them as best they could like everybody else.

Paul left Trophimus behind during one of his missionary journeys because of illness (2 Timothy 4:20). He recommended wine to Timothy for his “stomach and [his] frequent ailments” (1 Timothy 5:23). Epaphroditus got so sick he nearly died (Philippians 2:25–27). And sometimes God sent sickness to discipline members of His church (1 Corinthians 11:29–32).

So what does Isaiah 53:5 promise Christians if it’s not an offer of immediate, unblemished health for all Christians? John MacArthur sheds clear light on the matter in his commentary on 1 Peter 2:24 (which, noted earlier, quotes from Isaiah 53:5):

Christ died for believers to separate them from sin’s penalty, so it can never condemn them. The record of their sins, the indictment of guilt that had them headed for hell, was “nailed to the cross” (Colossians 2:12–14). Jesus paid their debt to God in full. In that sense, all Christians are freed from sin’s penalty. They are also delivered from its dominating power and made able to live to righteousness (cf. Romans 6:16–22).

Peter describes this death to sin and becoming alive to righteousness as a healing: by His wounds you were healed. This too is borrowed from the Old Testament prophet when he wrote “by His scourging we are healed” (Isaiah 53:5). Wounds is a better usage than “scourging” since the latter may give the impression that the beating of Jesus produced salvation. Both Isaiah and Peter meant the wounds of Jesus that were part of the execution process. Wounds is a general reference—a synonym for all the suffering that brought Him to death. And the healing here is spiritual, not physical. Neither Isaiah nor Peter intended physical healing as the result in these references to Christ’s sufferings. Physical healing for all who believe does result from Christ’s atoning work, but such healing awaits a future realization in the perfections of heaven. In resurrection glory, believers will experience no sickness, pain, suffering, or death (Revelation 21:1–4; 22:1–3). ^[4] John MacArthur, The MacArthur New Testament Commentary: 1 Peter (Chicago: Moody Press, 2004) 171–72.

To be fair, Matthew’s gospel does seem to make a connection between Isaiah 53:5 and physical healings that occurred during Christ’s earthly ministry:

They brought to Him many who were demon-possessed; and He cast out the spirits with a word, and healed all who were ill. This was to fulfill what was spoken through Isaiah the prophet: “He Himself took our infirmities and carried away our diseases.” (Matthew 8:16–17)

But was Christ’s healing ministry His end game, or did it point to an eternal cure? After all, the people he healed still died. Lazarus was raised from the dead, but he still eventually died again. People were healed but the curse wasn’t reversed. Jesus died for the sins of men, but men still continued to sin. He defeated death but His followers continued to die. There is an ultimate fulfillment of Christ’s atoning work that will not be realized this side of eternity (Romans 8:22–25). That’s why John MacArthur rightly observes:

Those who claim that Christians should never be sick because there is healing in the atonement should also claim that Christians should never die, because Jesus also conquered death in the atonement. The central message of the gospel is deliverance from sin. It is the good news about forgiveness, not health. Christ was made sin, not disease, and He died on the cross for our sin, not our sickness. As Peter makes clear, Christ’s wounds heal us from sin, not from disease. “He Himself bore our sins in His body on the cross, that we might die to sin and live to righteousness” (1 Peter 2:24). ^[5] John MacArthur, The MacArthur New Testament Commentary: Matthew 8–15 (Chicago: Moody Press, 1987) 19.

There is healing in Christ’s atonement but it’s obviously not fully realized in the present. Christians and non-Christians alike still feel the effects of the curse, and will ultimately die. Our ultimate perfect healing is certain, but it awaits us in the same way that we still await our resurrection bodies. And that shouldn’t bring disappointment to this present life. Rather, it is a glorious future reality for us to anticipate with great joy.

Lawmakers on both sides of the political divide are considering whether to report their rivals to police after a row in Hong Kong’s legislature over control of a key committee descended into chaos in the chamber.Two opposition legislators revealed on Saturday they planned to make formal allegations of assault, while the pro-establishment camp was mulling filing complaints of its own to the force.It follows a turbulent meeting of the Legislative Council’s House Committee on Friday, when a pro…

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